Kalie Kristine Bunn, M. ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15314 Issued in FL

Practice address

12117 Spindlewood CT
Jacksonville, FL 32246-0553

Phone

(904) 521-9812

NPI assigned

Dec 6, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kalie Kristine Minch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1265976591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12117 SPINDLEWOOD CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460553",
            "telephone_number": "904-521-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12117 SPINDLEWOOD CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460553",
            "telephone_number": "904-521-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNN",
        "first_name": "KALIE",
        "middle_name": "KRISTINE",
        "credential": "M. ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALIE",
            "last_name": "MINCH",
            "middle_name": "KRISTINE",
            "credential": "M. ED., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chauntay Bunch, CAC
• Nicole Monique Bunch, D.D.S.
• Christina Bungo, D.O.
• Tiffany Bunk
• Sondra Marie Bunkley
• Taylor Bunn, PHARMD
• Anthony Bunnell, D.M.D.
• Bailey Rose Bunnell, PA-C
• Janie Bunni
• Elizabeth Hope Bunse, DO

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.